BACKGROUND Anxiety complicates recovery in esophagectomy patients undergoing esophagectomy,while preoperative depressive symptoms may further delay surgeryassociated malnutrition resolution,highlighting a critical nee...BACKGROUND Anxiety complicates recovery in esophagectomy patients undergoing esophagectomy,while preoperative depressive symptoms may further delay surgeryassociated malnutrition resolution,highlighting a critical need for psychological intervention.AIM To explore the correlation of anxiety and depression with mindfulness levels in patients undergoing esophagectomy for esophageal cancer and analyze associated risk factors.METHODS A total of 120 patients with esophageal cancer,all of whom underwent esophagectomy in The Affiliated Yongchuan Hospital of Chongqing Medical University between September 2022 and September 2024,were enrolled.The hospital anxiety and depression scale(HADS)was utilized to evaluate the anxiety(HADS-anxiety subscale,HADS-A)and depression(HADS-depression subscale,HADS-D)levels of these patients,and the Mindful Attention Awareness Scale(MAAS)was employed to assess their mindfulness levels.The relationships among anxiety,depression,and mindfulness levels were analyzed,and both univariate and multivariate analyses were conducted to identify the risk factors for anxiety and depression in these patients.RESULTS Data revealed that the mean HADS-A score of patients undergoing esophagectomy was(10.43±4.24)points,and 40.00%,35.00%,and 10.83%of the patients had mild,moderate,and severe anxiety,respectively.The mean HADS-D score https://www.wjgnet.com 2 September 19,2025 Volume 15 Issue 9 was(9.20±4.66)points,and 37.50%,23.33%,and 9.17%of the patients had mild,moderate,and severe depression,respectively.Patients with negative or mild anxiety(or depression)exhibited significantly higher MAAS scores than those with moderate or severe anxiety(or depression).The HADS-A and HADS-D scores showed a strong and negative correlation with the MAAS score.Univariate and multivariate analyses demonstrated that sex(P=0.006),age(P=0.017),per capita monthly household income(P=0.005),and educational level(P=0.004)were all independently associated with the exacerbation of anxiety in patients undergoing esophagectomy.Age(P=0.026),living status(P=0.005),per capita monthly household income(P=0.024),educational level(P=0.002),and postoperative complications(P<0.001)were all independently related to the aggravation of depression in such patients.CONCLUSION This study indicated a significant negative correlation among anxiety,depression,and mindfulness levels in patients undergoing esophagectomy.Sex,age,per capita monthly household income,and educational level were risk factors for anxiety in patients undergoing esophagectomy,whereas age,living status,per capita monthly household income,educational level,and postoperative complications were risk factors for depression.展开更多
Objective:To study the effect of mindfulness-based cognitive training on sleep quality and mindfulness cognitive level of college students who score below the critical value of sleep disorders.Methods:The subjects wer...Objective:To study the effect of mindfulness-based cognitive training on sleep quality and mindfulness cognitive level of college students who score below the critical value of sleep disorders.Methods:The subjects were freshmen of a university in Shanghai who had scored below the critical value of sleep disorders.They were divided into the control group and experimental group by a random number table method,with 35 students in each group.No intervention was provided in the control group,and the mindfulness-based cognitive training(1 hour per day,5 days per week for 8 consecutive weeks)was performed in the intervention group.Eight weeks later,the Pittsburgh Sleep Quality Index(PSQI)and Five Facet Mindfulness Questionnaire(FFMQ)scores were compared between the two groups before and after the intervention for changes in the sleep quality and mindfulness cognitive level.Results:The sleep quality and daytime dysfunction were significantly improved,the sleep latency was shortened,the sleep duration was prolonged(P<0.05),and the mindfulness level of the subjects was significantly improved(P<0.05)in the intervention group compared with the control group.Conclusion:Mindfulness-based cognitive training can significantly improve the sleep quality of college students who scored below the critical value of sleep disorders.Furthermore,its psychological mechanism may be associated with the improvement of the mindfulness level of college students.展开更多
基金Supported by Yongchuan District Natural Science Foundation,No.2022yc-jckx20050。
文摘BACKGROUND Anxiety complicates recovery in esophagectomy patients undergoing esophagectomy,while preoperative depressive symptoms may further delay surgeryassociated malnutrition resolution,highlighting a critical need for psychological intervention.AIM To explore the correlation of anxiety and depression with mindfulness levels in patients undergoing esophagectomy for esophageal cancer and analyze associated risk factors.METHODS A total of 120 patients with esophageal cancer,all of whom underwent esophagectomy in The Affiliated Yongchuan Hospital of Chongqing Medical University between September 2022 and September 2024,were enrolled.The hospital anxiety and depression scale(HADS)was utilized to evaluate the anxiety(HADS-anxiety subscale,HADS-A)and depression(HADS-depression subscale,HADS-D)levels of these patients,and the Mindful Attention Awareness Scale(MAAS)was employed to assess their mindfulness levels.The relationships among anxiety,depression,and mindfulness levels were analyzed,and both univariate and multivariate analyses were conducted to identify the risk factors for anxiety and depression in these patients.RESULTS Data revealed that the mean HADS-A score of patients undergoing esophagectomy was(10.43±4.24)points,and 40.00%,35.00%,and 10.83%of the patients had mild,moderate,and severe anxiety,respectively.The mean HADS-D score https://www.wjgnet.com 2 September 19,2025 Volume 15 Issue 9 was(9.20±4.66)points,and 37.50%,23.33%,and 9.17%of the patients had mild,moderate,and severe depression,respectively.Patients with negative or mild anxiety(or depression)exhibited significantly higher MAAS scores than those with moderate or severe anxiety(or depression).The HADS-A and HADS-D scores showed a strong and negative correlation with the MAAS score.Univariate and multivariate analyses demonstrated that sex(P=0.006),age(P=0.017),per capita monthly household income(P=0.005),and educational level(P=0.004)were all independently associated with the exacerbation of anxiety in patients undergoing esophagectomy.Age(P=0.026),living status(P=0.005),per capita monthly household income(P=0.024),educational level(P=0.002),and postoperative complications(P<0.001)were all independently related to the aggravation of depression in such patients.CONCLUSION This study indicated a significant negative correlation among anxiety,depression,and mindfulness levels in patients undergoing esophagectomy.Sex,age,per capita monthly household income,and educational level were risk factors for anxiety in patients undergoing esophagectomy,whereas age,living status,per capita monthly household income,educational level,and postoperative complications were risk factors for depression.
基金supported by National Natural Science Foundation of China(NO.81673911).
文摘Objective:To study the effect of mindfulness-based cognitive training on sleep quality and mindfulness cognitive level of college students who score below the critical value of sleep disorders.Methods:The subjects were freshmen of a university in Shanghai who had scored below the critical value of sleep disorders.They were divided into the control group and experimental group by a random number table method,with 35 students in each group.No intervention was provided in the control group,and the mindfulness-based cognitive training(1 hour per day,5 days per week for 8 consecutive weeks)was performed in the intervention group.Eight weeks later,the Pittsburgh Sleep Quality Index(PSQI)and Five Facet Mindfulness Questionnaire(FFMQ)scores were compared between the two groups before and after the intervention for changes in the sleep quality and mindfulness cognitive level.Results:The sleep quality and daytime dysfunction were significantly improved,the sleep latency was shortened,the sleep duration was prolonged(P<0.05),and the mindfulness level of the subjects was significantly improved(P<0.05)in the intervention group compared with the control group.Conclusion:Mindfulness-based cognitive training can significantly improve the sleep quality of college students who scored below the critical value of sleep disorders.Furthermore,its psychological mechanism may be associated with the improvement of the mindfulness level of college students.
